NPI | 1952690927 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: FL RN 3357632) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NO11920900) |
Enumeration Date | 2011-03-30 |
Last Update Date | 2011-03-30 |